PRP therapy may help chronic tendon pain. It is considered for conditions like tennis elbow, Achilles tendinopathy, and patellar tendon pain that have not responded to rest or physiotherapy. By delivering growth factors directly to the tendon, PRP aims to reduce inflammation, which may lead to less pain. Explore the conditions we treat, or review the clinical research on PRP for tendon conditions.
This guide explores the role of PRP injections in treating chronic tendon injuries and how the treatment works. It also covers what patients should know before deciding whether it is the right option for them.
What Is Chronic Tendon Pain?
Tendons are tough, fibrous tissues that connect muscles to bones and enable movement. When overloaded or injured, tendons can become painful and inflamed—a condition known as tendinopathy. In chronic cases, the tendon undergoes degeneration, with changes in structure and reduced blood flow. As a result, recovery becomes slower and more complex.
Common examples of chronic tendinopathies include:
- Tennis elbow (lateral epicondylitis)
- Golfer’s elbow (medial epicondylitis)
- Achilles tendinopathy
- Patellar tendinopathy (jumper’s knee)
- Rotator cuff tendinopathy
These conditions can occur due to repetitive strain, ageing, poor biomechanics, or previous injury. For many patients, standard treatments such as rest, stretching, or cortisone injections may offer only temporary relief.
How PRP Therapy Works for Tendons
Platelet-rich plasma therapy aims to reduce inflammation in the affected tendon. PRP involves drawing the patient’s blood and processing it in a centrifuge to concentrate the platelets. The clinician then injects the platelet-rich plasma directly into the affected tendon.
Platelets release growth factors and signalling proteins that may:
- Lead to less pain
- Stimulate blood vessel formation (angiogenesis)
- Reduce low-grade inflammation
- Reduce inflammation
The goal of PRP for tendons is to reduce inflammation, leading to pain reduction.
What Does the Evidence Say?
PRP research studies have explored its use in various chronic tendon conditions. In particular, PRP for tennis elbow and PRP for Achilles tendinopathy have been among the most extensively studied. While results can vary between patients, some studies have shown promising outcomes in terms of pain reduction and improved function.
It’s worth noting that tendon recovery is a slow biological process, and PRP therapy is not a quick fix. Instead, it may complement a structured rehabilitation plan including strength training and load management.
PRP vs Traditional Treatments
Traditional treatments for chronic tendon pain may include physiotherapy, bracing, dry needling, shockwave therapy, or cortisone injections. While some of these offer short-term relief, they may not address the underlying tendon damage.
PRP therapy, as an orthobiologic option, aims to reduce inflammation in the tendon. It is minimally invasive and uses the body’s own blood components, reducing the risk of adverse reactions. For patients seeking a non-surgical option, PRP for tendons may be considered when other treatments have plateaued.
What to Expect from PRP for Tendon Pain
If you are considering PRP injections for a chronic tendon issue, the process generally involves:
- An initial consultation with a PRP doctor to confirm diagnosis
- Imaging (ultrasound or MRI) to assess the tendon condition
- A blood draw and PRP preparation
- Targeted injection under ultrasound guidance
- A recovery period with activity modification and rehabilitation
Post-injection soreness is common and may last a few days. You will likely be advised to avoid anti-inflammatory medications and to follow a gradual return-to-activity protocol. PRP injection recovery time for tendons varies, but many patients begin to notice improvement over a period of 4 to 12 weeks.
Dr John PRP sees patients from Castle Hill, Norwest, Baulkham Hills, Kellyville, Pennant Hills, Bowral, Mittagong, and Moss Vale. To discuss your injury or condition, book a consultation online.
For further reading, visit the research on PRP for chronic tendinopathy.
To learn more about our approach, see chronic tendon pain.
